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$76.2k - $158.8k
...renowned health organization and help shape the financial and operational effectiveness of UC Hospitals. Elevate your expertise in Medicare and Medi-Cal reimbursement while making a meaningful impact on policy and compliance. You can do all this and more at UCLA Health....SuggestedHome officeDirect Jobs
Los Angeles, CA4 days ago$54.92k - $107.1k
...Job Title Provides analyst support for configuration information management activities. Job Summary Provides analyst support... ...Experience in a managed care organization supporting Medicaid, Medicare and/or Marketplace programs.• Intermediate to advanced Microsoft...SuggestedFull timeWork experience placementWork at officeRemote workMolina Healthcare
Fort Worth, TX1 day ago- ...receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS). Education Proficient in... ...information systems. Experience / Qualifications Prior analyst experience working with inpatient hospital billing systems....SuggestedWork at officeRemote work
Jupiter Medical Center
United States2 days ago $60.6k - $112.6k
...that this role would not provide relocation and only local candidates will be considered. As an Analyst in the Managed Care group, you will manage Commercial and Medicare Part-D payer contract operations from system entry through to rebate adjudication and analyses...SuggestedContract workLocal areaRemote workRelocationNovartis Group Companies
East Hanover, NJ3 days ago- ...Senior Managed Care Analyst Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination... ...a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS). Education Bachelors Degree...SuggestedFull timeContract workWork at office
Jupiter Medical Center
Jupiter, FL4 days ago - ...Title: Medicare SME- Payment Integrity Analyst Duration : 12 months Location : Remote This resource will implement a process to test end-to-end common Medicare Advantage leakage scenarios across multiple Medicare service categories to rapidly determine...SuggestedRemote work
RIT Solutions Inc/ Tech Dev IT/ Texperts Inc/ConceptsIT, Inc...
Lutherville Timonium, MD1 day ago - ...professional services firm is seeking a Clinical Trials Coverage Analyst for a fully remote position supporting a leading academic... ...research center. The candidate should have strong expertise in Medicare billing guidelines, clinical trial operations, and oncology protocols...SuggestedRemote work
Vitalief
Chicago, IL4 days ago - Job Description Department: OR Administration Shift: Day Working Hours: 8-5 Summary: This position is responsible for creating, maintaining, auditing, and updating Epic OP time preference cards; ensuring accuracy of Epic OP time preference cards and provides...SuggestedShift work
Baptist Health
Maumelle, AR8 days ago $45k - $56k
...Description Our Medicare IT Analyst - Pricing Procedures Analyst is responsible for researching and responding to interdepartmental referrals while ensuring the accuracy and effectiveness of processing and coding guidelines. This Medicare IT Analyst plays a pivotal role...SuggestedContract workFor contractorsImmediate startRemote workWPS Health Solutions
Charleston, SC2 days ago$137.72k - $206.69k
...Principal Analyst (P5) The Medicare Quality organization is recruiting for a Principal Analyst (P5) to support enterprise-level analytics within Medicare Quality, applying advanced statistical, modeling, and data engineering techniques to drive strategic decision support...SuggestedFull timePart timeWork at officeLocal areaWork from homeHome office2 days per weekBlue Shield Of California
Woodland Hills, CA3 days ago- Epic Anesthesia/Optime Analyst page is loaded## Epic Anesthesia/Optime Analystlocations: Jupiter Innovation Centertime type: Full timeposted... ...a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).**Education*** Bachelor’s Degree preferred...SuggestedWork at office
- ...the world. Organizations infrastructure and culture is amazing. Best place!! Job Description Job Title: Health Payer Technology Medicare Consultant Job Level: Senior Level Job Description: THIS IS WHAT YOU WILL DO... You will be adapting existing methods and procedure...Suggested
- INSURE CHOICE LLC is looking for a Commission Analyst to oversee the calculation and administration of sales commissions. This role involves collaborating with Sales, Finance, and HR teams to ensure accurate and timely commission payments. The ideal candidate should have...SuggestedRemote job
- ...Remote Senior Analyst (Data & Operations) Paychexis looking for a Data Analyst to become part of our team that supports State Based Exchange Health Insurance and Centers for Medicare & Medicaid programs. If you can use data to tell a story, then this role is for you...SuggestedWork at officeRemote work
Recruit Monitor
Houston, TX23 hours ago $70k - $90k
...Responsibilities: We currently have an opening for an Advisory Services Analyst with experience in Medicaid policy and programs at either the... .... Currently, Mathematica's largest client is Centers for Medicare & Medicaid Services (CMS). Most staff working on CMS contracts...SuggestedContract workWork experience placementLocal areaMathematica, Inc.
Cambridge, MA2 days ago- ...This position is fully onsite in our Doral office. POSITION SUMMARY The Medicare Data Analyst position is responsible for data manipulation, report creation, and scorecard development to assist the Medicare Advantage HMO plans meet CMS compliance requirements for...Work at officeMonday to Friday
SOLIS Health Plans
Miami, FL23 hours ago - ...Job Description Job Title: Data Visualization Analyst I Position Summary: Risk Adjustment Data Visualization Analyst to design... ...medical claims, enrollment, and encounter data Knowledge of Medicare Advantage, ACA, or Medicaid risk adjustment programs preferred...
Convey Health Solutions
Lauderdale Lakes, FL23 hours ago - ...Lead Epic Analyst Ranked #1 for safety, quality, and patient satisfaction, Jupiter Medical Center is the leading destination for world... ...a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS). Education Minimum of Associates...Work at office
Jupiter Medical Center
Jupiter, FL3 days ago - A healthcare provider in New York is seeking a Community Relations Analyst to engage Medicare adults and drive new patient growth. The role involves building relationships with community leaders, coordinating outreach events, and managing metrics related to patient acquisition...
- A large independent home health provider in New York is seeking a Reimbursement Analyst to handle daily revenue cycle collections. Candidates should have at least 2 years of experience and strong knowledge of managed care and insurance portals. The role involves resolving...
- Overview The Commission & Cash Receipts Analyst is responsible for accurate and timely balancing of premium processing, claims refunds... ...process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and...For contractorsLive inImmediate startRemote work2 days per week
- A leading healthcare provider in Richmond, Virginia is seeking a dynamic Medicare Bad Debt and Charity Specialist. Responsibilities include processing Medicare Bad Debt worklists, assisting with cash posting, and reviewing financial assistance applications. The ideal candidate...Work at office
- Medasource is seeking a Reimbursement Analyst III for a fully remote role that supports complex reimbursement and cost reporting functions... ...years of experience in healthcare reimbursement, expertise in Medicare and Medi-Cal cost report preparation, and a strong...Remote job
$82k - $102k
Join to apply for the Conflicts/Intake Analyst role at Manatt, Phelps & Phillips, LLP 2 days ago Be among the first 25 applicants Join... ...COMMUNITY PROGRAMS Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid) Los Angeles, CA $92,600.00-$...Permanent employmentFull timeContract workWork at officeLocal areaFlexible hoursShift work$100k - $127k
Reimbursement Analyst - Hybrid Payroll Title: Department: FINANCIAL SERVICES. Hiring Pay Scale: $100,000 - $127,000 / Year. Worksite:... ...analysis of government reimbursement for the hospital, including Medicare, Medi‑Cal, and HCAI, etc. The Reimbursement Analyst prepares...Hourly payRemote workMonday to FridayDay shift- Why MediGold? MediGold is a not‑for‑profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the... ...role through July 2026. Position Purpose Reconciliation Analyst plans, organizes, conducts and monitors the enrollment and reconciliation...Full timeTemporary workWork at officeLocal areaRelocation packageShift workDay shift
- * Build and maintain Clinician’s workflow and HEDIS quality measure for Medicare Advantage programs* Build and maintain CMS Quality Payment Program (MIPS/MVP/MACRA) and other government programs in Epic* Build and maintain clinician’s workflow for eCQM and Promoting Interoperability...Work at officeNight shiftWeekend workAfternoon shift
- A leading healthcare technology firm is seeking a Client Services, Analyst to enhance the Medicare Coordination of Benefits product. Responsibilities include managing performance indicators, engaging in product initiatives, and providing expert support. The ideal candidate...
- Mount Carmel Health System is seeking a Reconciliation Analyst in Columbus, Ohio to manage the enrollment and reconciliation process for Medicare Advantage members. This full-time position involves ensuring accurate membership processing, overseeing special payment status...Full timeTemporary work
Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time[...]
$58.66k - $81.68k
Description Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid The Reimbursement... ...with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. Responsibilities Assures...Full timeTraineeshipWork at office
